host: ron has this suggestion from our twitter page. guest: that is a term we heard. when the cut health care, someone will be bearing the brunt of that cut. that is similar to the concept of those care organizations. they also include quality metrics as part of the contract, where they look at people's outcomes. one way to prevent against the u.s. skimping on care. host: this from sasha -- guest: that is one proposal that gets floated by democrats. medicare part d bargains for drugs. i do not know -- i do not think it would be a cure all, the one proposal that would fix everything. democrats think it would reduce the cost of medicare. host: is there a plan b? guest: we have seen them as the january 1 deadline before and get 30-day extensions. at some point they were working without an extension. medicare told doctors to hold off on submitting your claims for a little bit. that is a situation we have ended up in before. we'rere talking months, talking about big pay cuts for medicare doctors. medicare doctors. that would be uncharted territory. host: joe from arizona o